What is Shadiase Jack's NPI number?

Shadiase Jack's National Provider Identifier (NPI) is 1609299353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shadiase Jack's specialty?

Shadiase Jack is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Shadiase Jack located?

Shadiase Jack's practice location on file with NPPES is 41900 Fenwick St, Leonardtown, MD 20650-3814.

What is Shadiase Jack's phone number?

The practice phone number listed in the NPPES registry for Shadiase Jack is (301) 475-8860.

Is Shadiase Jack's NPI active?

Yes — Shadiase Jack's NPI (1609299353) is active in the NPPES registry as of the last update on 2014-01-31.

IndividualActive

Shadiase Jack

NPI 1609299353 · Social Worker · Leonardtown, MD

Shadiase Jack is a Social Worker provider in Leonardtown, MD (NPI 1609299353).

Provider details

NPI number: 1609299353
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes
License: 19632 (MD)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense 19632 (MD)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

41900 Fenwick St

Leonardtown, MD 20650-3814

Phone: (301) 475-8860

Street-level locationGet directions

More MD providers

Mailing address